Active NPIIndividual provider

John H Jackson, CRNA

Nurse Anesthetist, Certified Registered in Windsor, Vermont

NPI Number1114913597
Practice location
289 County RD, Windsor, VT 05089-9000
Fax
802-674-7005
Last updated
July 8, 2007

John H Jackson is a Nurse Anesthetist, Certified Registered based in Windsor, VT. John H Jackson practices in Windsor, VT and has the professional credentials of CRNA. The NPI Number for John H Jackson is 1114913597 and holds a License No. 101-0026395 (VT). The current practice location address for John H Jackson is 289 County RD, Windsor, VT 05089-9000 and can be reached out via phone at 802-674-7218 and via fax at 802-674-7005.

Provider Profile Details

NPI Number
1114913597
Provider Name
John H Jackson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
289 County RD, Windsor, VT 05089-9000
Phone Number
802-674-7218
Fax Number
802-674-7005
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
289 County RD
Windsor, VT 05089-9000
State
Vermont
Zip
05089-9000
Phone Number
802-674-7218
Fax Number
802-674-7005
Windsor, VT 05089Get directions →

Provider Business Mailing Address Details

Address
289 County RD
Windsor, VT 05089-9000
City
Windsor
State
VT
Zip
05089-9000
Phone Number
802-674-7218
Fax Number
802-674-7005

License Information

License Number
101-0026395
License State
VT
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John H Jackson, CRNA?

The NPI number of John H Jackson, CRNA is 1114913597. It was assigned on September 21, 2005 and is currently active in the NPPES registry.

What is the specialty of John H Jackson, CRNA?

John H Jackson, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in VT under license number 101-0026395.

Where does John H Jackson, CRNA practice?

The practice location is 289 County RD, Windsor, VT 05089-9000. The office can be reached at 802-674-7218 (phone) or 802-674-7005 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114913597 directly on the NPPES registry website.

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